Active NPI
Laure Grove, M.ED., BCBA
- Behavior Analyst
- Alexandria, VA
National Provider Identifier
1013388529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 0133001029
- Practice address
- 6281 Franconia Rd Ste B
Alexandria, VA 22310-2587 - Phone
- (571) 249-4883
- NPI assigned
- Oct 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-15-19647 | ||
| Behavior Analyst | 103K00000X | 0133001029 | VA | Primary |
Addresses
Primary practice location
6281 Franconia Rd Ste B
Alexandria, VA 22310-2587
Mailing address
6281 Franconia Rd Ste B
Alexandria, VA 22310-2587
Phone (571) 249-4883
Other practice location 1
18726 S Western Ave
Suite 408
Gardena, CA 90248-3813
Phone (310) 714-2246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0133001029 | Other | VA | VA BA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0133001029 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1013388529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6281 FRANCONIA RD STE B",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102587",
"telephone_number": "571-249-4883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6281 FRANCONIA RD STE B",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102587",
"telephone_number": "571-249-4883"
}
],
"practiceLocations": [
{
"address_1": "18726 S Western Ave",
"address_2": "Suite 408",
"address_purpose": "LOCATION",
"city": "Gardena",
"state": "CA",
"postal_code": "902483813",
"country_code": "US",
"telephone_number": "310-714-2246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROVE",
"first_name": "LAURE",
"credential": "M.ED., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-15-19647",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "0133001029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA BA LICENSE",
"identifier": "0133001029",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.